Bryant Lawrence, Damarin Amanda K, Marshall Zack
Prog Community Health Partnersh. 2014 Autumn;8(3):269-79. doi: 10.1353/cpr.2014.0041.
Lesbian, gay, bisexual, and transgender (LGBT) people are increasingly aware that disproportionately high smoking rates severely impact the health of their communities. Motivated to make a change, a group of LGBT community members, policymakers, and researchers from Atlanta carried out a community-based participatory research (CBPR) project.
This formative research study sought to identify recommendations for culturally relevant smoking prevention and cessation interventions that could improve the health of Atlanta's LGBT communities.
Data presented here come from four focus groups with 36 participants and a community meeting with 30 participants.
Among study participants, the most favored interventions were providing LGBT-specific cessation programs, raising awareness about LGBT smoking rates, and getting community venues to go smoke-free. Participants also suggested providing reduced-cost cessation products for low-income individuals, using LGBT "role models" to promote cessation, and ensuring that interventions reach all parts of the community.
Findings reinforce insights from community-based research with other marginalized groups. Similarities include the importance of tailoring cessation programs for specific communities, the need to acknowledge differences within communities, and the significance of community spaces in shaping discussions of cessation. Further, this study highlights the need for heightened awareness. The Atlanta LGBT community is largely unaware that high smoking rates affect its health, and is unlikely to take collective action to address this problem until it is understood.
女同性恋、男同性恋、双性恋和跨性别者（LGBT）越来越意识到，极高的吸烟率对他们群体的健康产生了严重影响。出于做出改变的动机，一群来自亚特兰大的LGBT社区成员、政策制定者和研究人员开展了一项基于社区的参与性研究（CBPR）项目。
这项形成性研究旨在确定与文化相关的吸烟预防和戒烟干预措施的建议，以改善亚特兰大LGBT社区的健康状况。
此处呈现的数据来自四个有36名参与者的焦点小组和一个有30名参与者的社区会议。
在研究参与者中，最受欢迎的干预措施包括提供针对LGBT群体的戒烟项目、提高对LGBT群体吸烟率的认识以及使社区场所实现无烟。参与者还建议为低收入个人提供低成本的戒烟产品，利用LGBT“榜样”来促进戒烟，并确保干预措施覆盖社区的各个部分。
研究结果强化了对其他边缘化群体进行基于社区研究的见解。相似之处包括为特定社区量身定制戒烟项目的重要性、承认社区内部差异的必要性以及社区空间在塑造戒烟讨论中的重要性。此外，这项研究凸显了提高认识的必要性。亚特兰大的LGBT社区很大程度上并未意识到高吸烟率对其健康的影响，在这个问题得到认识之前，不太可能采取集体行动来解决这个问题。
